Individual provider Active NPI

Andrea Sorsa, LCSW

  • Clinical Social Worker
  • Pewee Valley, KY
National Provider Identifier
1104955020
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3142 Issued in KY
Practice address
7608 Ky-146
Ste. 104
Pewee Valley, KY 40056
Phone
(502) 314-4338
Fax
(502) 470-5850
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4504 KY
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 3142 KY Primary

Addresses

Primary practice location

7608 Ky-146
Ste. 104
Pewee Valley, KY 40056

Mailing address

7608 Ky-146
Ste. 104
Pewee Valley, KY 40056
Phone (502) 314-4338

Other identifiers 1

IdentifierTypeStateIssuer
7100645940MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210506002193 KY Practitioner - Clinical Social Worker 7911316781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7608 W Hwy 146
Suite 104
Pewee Valley, KY 40056-8100
Phone (502) 314-4338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4504KYMDSocial Worker
3142KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Annie Sorsa, LCSW, PLLC Clinical CurrentSince Apr 15, 2021 Accepting new patients

Locations

301 La Grange Rd
Ste C
Pewee Valley, KY 40056

7600 W Highway 146
Ste 303
Pewee Valley, KY 40056
Phone (502) 314-4338

7608 W Highway 146
Ste 104
Pewee Valley, KY 40056
Phone (502) 314-4338

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1104955020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7608 KY-146",
            "address_2": "STE. 104",
            "city": "PEWEE VALLEY",
            "state": "KY",
            "postal_code": "40056",
            "telephone_number": "502-314-4338",
            "fax_number": "502-470-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7608 KY-146",
            "address_2": "STE. 104",
            "city": "PEWEE VALLEY",
            "state": "KY",
            "postal_code": "40056",
            "telephone_number": "502-314-4338",
            "fax_number": "502-470-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORSA",
        "first_name": "ANDREA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "4504",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100645940",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewee Valley, KY

Sources for this page

Verify at the official NPI Registry.